Copyright (C) 2011, Elsevier Taiwan LLC All rights reserved “

Copyright (C) 2011, Elsevier Taiwan LLC. All rights reserved.”
“In this study, the oxidative polycondensation reaction conditions of Rocilinostat 2,2′-[(2,5-dichloro-1,4-phenylene) bisnitrilomethylylidene]diphenol (DCPMDP) were studied between 40 and 90 degrees C using different times and concentrations in the alkaline medium to determine effect on the yield of these parameters. Polymerization

of 2,2′-piperazine-1,4-diylbis[propane-3,1-diylnitrilomethy-lylidene] diphenol (PDMDP) was performed at two steps with graft polycondensation method. Additionally, seven different metal complexes were also synthesized from PDMDP with some metal salts. The structures of the compounds were confirmed by UV-vis, FT-IR, (1)H and (13)C NMR spectroscopy analyses. The characterization was made by TG-DTA, size exclusion chromatography (SEC), elemental analysis, and solubility tests. HOMO-LUMO energy levels and electrochemical band (E(g)(‘)) gaps were determined from cyclic voltammetry (CV) measurements. Also, optical band (E(g)) gaps were calculated from UV-vis measurements. Protein Tyrosine Kinase inhibitor Electrical conductivity

of doped and undoped monomer and oligomer were measured by four-point probe technique using an electrometer. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 120: 3325-3336, 2011″
“A survey was conducted by the Academic Clinical Oncology and Radiobiology Research Network (ACORRN) to evaluate current radiotherapy practice and to inform future research needs in patients with locally advanced pancreatic cancer. A clear need for a co-ordinated multicentre approach, given the limited number of patients who may qualify for such UK trials, was identified. Such trials should incorporate evidence-based treatment protocols and appropriate quality assurance procedures to ensure delivery of the highest standards of radiation-based therapy within, and without, clinical trials. (C) 2010 The Royal College of Radiologists. Navitoclax datasheet Published by Elsevier Ltd. All rights reserved.”
“A 27-year-old female with chronic right-side flank pain was diagnosed with renal epithelioid angiomyolipoma (EAML) extending

as a thrombus into the renal vein and vena cava. Intravascular extension of EAML is quite rare; however, it may result in fatal complications if not appropriately treated. She successfully underwent a radical nephrectomy and inferior vena caval thrombectomy. Intravascular extension of EAML, although rare, has been reported. We present a new case and a description of the surgical management. Furthermore, we reviewed and analyzed nine case reports of invasive renal EAMLs. Copyright (C) 2011, Elsevier Taiwan LLC. All rights reserved.”
“The elastomeric nanocomposites based on organomontmorillonite (OMMT) and styrene-(ethylene-butylene)- styrene (SEBS) thermoplastic elastomer were prepared by melt processing using maleic anhydride grafted SEBS (SEBS-g-MA) as compatibilizer.

Among these, 2′-hydroxy-3′,4′,6′-trimethoxychalcone (5) exhibited

Among these, 2′-hydroxy-3′,4′,6′-trimethoxychalcone (5) exhibited cytotoxicity (IC(50) 12 A mu M), and espintanol (3), which was the main ingredient, also showed some cytotoxicity (IC(50) 44 A selleck mu M).”
“Prostate cancer represents an increasing health burden. The past 20 years, with the introduction of prostate-specific antigen (PSA), has seen prostate cancer move increasingly from a condition that presented with locally advanced disease or metastases to one that is found upon screening. More is also known about the pathology of pre-malignant lesions. Diagnosis relies on trans-rectal ultrasound (TRUS) to obtain biopsies from throughout the prostate, but TRUS is not useful for staging.

Imaging for staging, such as magnetic resonance imaging or computed tomography, still has a low accuracy compared with pathological specimens. Current techniques are also inaccurate in identifying lymph node and bony metastases. Nomograms have been developed from the PSA, Gleason score and clinical grading to help quantify the risk of extra-capsular extension in radical prostatectomy specimens. Improved clinical staging modalities are required for more reliable prediction

of pathological stage and for monitoring of response Pevonedistat concentration to treatments.”
“The shock Hugoniot of single crystal copper is reported for stresses below 66 GPa. Symmetric impact experiments were used to measure the Hugoniots of three different crystal 3-deazaneplanocin A orientations of copper, [100], [110], and [111]. The photonic

doppler velocimetry (PDV) diagnostic was adapted into a very high precision time of arrival detector for these experiments. The measured Hugoniots along all three crystal directions were nearly identical to the experimental Hugoniot for polycrystalline Cu. The predicted orientation dependence of the Hugoniot from molecular dynamics calculations was not observed. At the lowest stresses, the sound speed in Cu was extracted from the PDV data. The measured sound speeds are in agreement with values calculated from the elastic constants for Cu.”
“Cardiac and vascular diseases represent one of the most substantial medical areas for the applications of regenerative medicine. Despite advances in endovascular repair, surgical intervention, and disease management, atherosclerosis and heart failure continue to be prominent health problems. This report analyzes the regenerative medicine treatment opportunities in both cardiovascular and peripheral vascular repair, examining the treatment opportunities for tissue-engineered vascular grafts as well as cell-based therapies. U. S. hospital discharge data were used to generate a detailed estimate of the relative target populations for cardiac and vascular disease. Gap analyses were performed for vascular access, small caliber vascular grafts, and cell-based therapies for revascularization and heart failure.


“Objectives Whether NVC volume on magnetic resonance (MR)


“Objectives. Whether NVC volume on magnetic resonance (MR) cisternography might be related to the success of local anesthetic block by tetracaine (TNB) as an additional treatment after carbamazepine (CBZ) treatments in patients with trigeminal neuralgia (TN) was evaluated.

Study Design. Detectable NVC volumes were measured from MR cisternography in 65 patients with TN treated by TNB after CBZ treatments. The correlation between the success of TNB and the NVC volume or the improvement in pain by CBZ was evaluated retrospectively.

Results.

A significant difference was found between the improvement in pain by CBZ and the success of TNB, but not between NVC volume on MR cisternography and the success GS-7977 in vivo of TNB.

Conclusions. The present results suggest that the success of CBZ as initial treatment, but not NVC volume on MR cisternography, may be a significant predictor of the success of TNB as additional therapy in patients with TN.”
“Objective:

Studies on odontogenic tumors published from many parts of the world show a distinct geographic variation; however, there is little information available in the English-language literature on the relative frequency of odontogenic tumors in India. This retrospective study was designed to determine the relative frequency of odontogenic tumors in an Indian population and compare them with various CH5183284 mw reports from other parts of the world.

Study design: The histopathology records of the Department of Oral Pathology and Microbiology of Government Dental College and Hospital, Mumbai were retrieved retrospectively within the period of January 2001 to July 2010. A total of 120

lesions classified as odontogenic tumors were reviewed. These were analyzed for age, gender, site of tumor and histopathologic typing. Criteria used were World Health Organization (WHO) classification 2005. The mandible and maxilla were divided into 4 anatomic regions, and the distribution of each odontogenic tumor among these regions was recorded and analyzed.

Results: A total of 120 cases of odontogenic tumors were reported in this period. Odontogenic tumors in the present study constituted 5.78% of all the 2075 registered biopsies. The most frequent histological type was ameloblastoma (40.83%), followed by Keratocystic odontogenic tumor (37.5%), odontome (11.66%) and adenomatoid CHIR-99021 odontogenic tumor (5.8%). In general, the odontogenic tumors showed a predilection for the mandible and the posterior regions of the jaws. Ameloblastomas occurred with a marked predilection for the mandible, while adenomatoid odontogenic tumor showed predilection for the maxilla, anterior regions of the jaws, and young females.

Conclusion: A frequency of 5.78% of odontogenic tumors was observed in this study. Ameloblastoma comprised the single most common tumor of all odontogenic tumors. This study observed geographic variations in the frequency and distribution of odontogenic tumors.

High staff/patient ratio and emotional distance between staff and

High staff/patient ratio and emotional distance between staff and patients are discussed as protective factors.”
“Background: The anesthetic risks and outcomes of the first 100 consecutive spring-assisted surgeries (SAS) for cranial expansion from a single institution are reported. The effect of number of procedures was also tested on hematocrit postoperative day 1 (POD I), anesthesia time, and surgery time of the first procedure.

Methods: The records of 100 consecutive patients undergoing SAS were reviewed. Anesthesia management and related complications are presented. Time series linear regression analysis was performed on hematocrit POD I, anesthesia

time, and surgery time of the first procedure.

Results: The average age of the first insertion procedure was 4.4 and 9.0 months for the second removal procedure. Two patients were inadvertently extubated Selleckchem GANT61 during positioning. Thirty-eight children had a decrease in blood pressure > 20% from baseline. No child was admitted to the intensive care unit. No patient received any

blood or blood product transfusion. Anesthesia time, surgery time, and hematocrit POD I were correlated with procedure number or experience.

Conclusions: Changes in anesthetic management resulted from changing the procedure. The reduction in volume resuscitation reduces the need for invasive monitoring. Facility and comfort with the surgical procedure increase with time and number of procedures performed. This experience further reduces blood loss and risk of transfusion.”
“The aim of the Best Practice guidelines on peritoneal selleck chemicals ultrafiltration (UF)

in patients with Cl-amidine molecular weight treatment-resistant advanced decompensated heart failure (TR-AHDF) is to achieve a common approach to the management of decompensated heart failure in those situations in which all conventional treatment options have been unsuccessful, and to stimulate a closer cooperation between nephrologists and cardiologists.

The standardization of the case series of different centers would allow a better definition of the results published in the literature, without which they are nothing more than anecdotes.

TR-AHDF is characterized by the persistence of severe symptoms even when all possible pharmacological and surgical options have been exhausted. These patients are often treated with methods that allow extracorporeal UF – slow continuous ultrafiltration (SCUF) and continuous renal replacement therapy (CRRT) – which have to be performed in hospital facilities.

Peritoneal ultrafiltration (PUF) can be considered a treatment option in patients with TR-AHDF when, despite the fact that all treatment options have been used, patients meet the following criteria:

stage D decompensated heart failure (ACC/AHA classification);

INTERMACS level 4 decompensated heart failure;

INTERMACS frequent flyer profile;

chronic renal failure (estimated glomerular filtration rate <50 ml/min per 1.


“A detailed chemical and spectroscopic investigation of th


“A detailed chemical and spectroscopic investigation of the terrestrial lichen Candelaria concolor has yielded several lichenic metabolites belonging to the pulvinic acid series, as well as several depside derivatives including pulvinic dilactone (1), vulpinic acid (4) and calycin (5). The chemical transformation of 1 to pulvinic acid (3) is reported for the first time, as is the conversion of atranorin (6) to 5-chloroatranorin (7) and then finally to 5,5′-dichloroatranorin (8) under very mild conditions. Also presented is the complete 1D and 2D NMR assignment for compounds 1, 3, 4, 5 and 8, including partial NMR chemical shift assignments ON-01910 Cell Cycle inhibitor for

the unstable depside (7). Previously, these metabolites had only been partially assigned by NMR spectroscopy.”
“Objectives: Maternal hypothyroidism may adversely

affect pregnancy outcomes. International practice guidelines recommend that women with hypothyroidism should attain a preconception and early gestation serum thyroid-stimulating hormone (TSH) level of <2.5 mU/L. Our objective was to ascertain what proportion of women realize this target in practice and whether a TSH level above this threshold has adverse fetal and maternal consequences.

Methods: This PF-04929113 order was an observational study of women with hypothyroidism referred to an endocrine antenatal clinic between 2008 and 2010 (n = 78; mean age, 30.4 years; range, 19 to 43 years). Thyroid profiles (free thyroxine [FT4] and TSH) before conception and through pregnancy were

documented. Obstetrics outcomes were examined, including low birth weight, preterm births, pre-eclampsia, caesarean sections, and admissions to special care neonatal units.

Results: Thyroid testing JQ-EZ-05 was undertaken in 80% of subjects before conception, and in 64, 94, and 96% of subjects in the first, second, and third trimesters of pregnancy, respectively. TSH >2.5 mU/L was seen in 49% of women before conception and in 68% of women in the first trimester. Six women were overtly hypothyroid before conception, attaining normal thyroid function at gestational ages ranging from 12 to 36 weeks. Neither the preconception nor the first postconception TSH level (>2.5 mU/L or <= 2.5 mU/L) was associated with gestational age at delivery, birth weight, or rates of caesarean section or preeclampsia.

Conclusion: The majority of women with hypothyroidism do not achieve the recommended preconception and early gestation TSH targets. Preconception and early gestation TSH > 2.5 mU/L was not associated with adverse fetal and maternal outcomes. Studies in larger cohorts will be required to confirm these findings, however.

There were no significant differences in JOA score

There were no significant differences in JOA score GSK J4 clinical trial at the latest follow-up among patients with LSS, DS, and degenerative scoliosis (22.3 +/- 5.3, 23.3 +/- 4.4, and 21.6 +/- 2.6, respectively). Four patients (7%) underwent reoperation; 2 had DS and 2 had DLS. The preoperative percentages of slippage in patients with LSS, DS, and DLS were 0.4% +/- 2.2%, 13.2% +/- 5.9%, and 0.0% +/- 1.3%, respectively, whereas degrees of progression of slippage at latest follow-up were 1.2% +/- 3.1%,

2.4% +/- 4.7%, and 0.0% + 0.0%, respectively. There were no significant differences in progression of slippage among these 3 disease groups.

Conclusion. Microsurgical bilateral decompression via a unilateral approach is a minimally invasive technique that yielded satisfactory surgical outcomes even on minimum 5-year follow-up.”
“The typical fungal membrane component ergosterol was previously shown to trigger defence responses and protect plants against pathogens. Most of the elicitors mobilize the second messenger calcium, to trigger plant defences. We checked

the involvement of calcium in response to ergosterol using Nicotiana plumbaginifolia and Nicotiana tabacum cv Xanthi cells expressing apoaequorin in the cytosol. First, it was verified if ergosterol was efficient PLX3397 in vitro in these cells inducing modifications of proton fluxes and increased expression of defence-related genes. Then, it was shown that ergosterol induced a rapid and transient biphasic increase of free [Ca2+](cyt)

which intensity depends on ergosterol concentration Cell Cycle inhibitor in the range 0.002-10 mu M. Among sterols, this calcium mobilization was specific for ergosterol and, ergosterol-induced pH and [Ca2+](cyt) changes were specifically desensitized after two subsequent applications of ergosterol. Specific modulators allowed elucidating some events in the signalling pathway triggered by ergosterol. The action of BAPTA, LaCl3, nifedipine, verapamil, neomycin, U73122 and ruthenium red suggested that the first phase was linked to calcium influx from external medium which subsequently triggered the second phase linked to calcium release from internal stores. The calcium influx and the [Ca2+](cyt) increase depended on upstream protein phosphorylation. The extracellular alkalinization and ROS production depended on calcium influx but, the ergosterol-induced MAPK activation was calcium-independent. ROS were not involved in cytosolic calcium rise as described in other models, indicating that ROS do not systematically participate in the amplification of calcium signalling. Interestingly, ergosterol-induced ROS production is not linked to cell death and ergosterol does not induce any calcium elevation in the nucleus. (C) 2011 Elsevier Masson SAS. All rights reserved.

7% Multiple access was associated with increased LOS (P = 0 01),

7%. Multiple access was associated with increased LOS (P = 0.01), ICU stay (P < 0.01), transfusion check details (P < 0.01), and pulmonary complications (P = 0.03). Upper-pole access was associated with decreased initial stone-free rate (P = 0.04). Midpolar access predicted increased final stone-free rate (P = 0.04). Mean stone size was 3.31 cm and was predictive of an increased number of procedures (P = 0.04). Larger stone size was also predictive of decreased initial stone-free rate (P = 0.03) and final stone-free rate (P = 0.05). There were no statistically significant differences between SCI

and SB patients in terms of outcomes.

Conclusions: Increasing stone size and multiple access were predictors of adverse outcomes, and location of access affected stone-free status. We found no differences in outcomes between SB and SCI patients. To our knowledge, this is the largest series reported regarding PCNLs in this patient population.”
“A novel white rot fungus strain Hohenbuehelia sp. ZW-16 was identified and first used for bioethanol production in this study. It was found that the strain could produce bioethanol with glucose, xylose and arabinose under limited oxygen

condition. Then, corn straw hydrolysate and corncob hydrolysate (mainly composed of glucose, xylose, and arabinose) were used for bioethanol production; the former substrate could produce more bioethanol in the experiment. The optimal sugar concentration and nitrogen sources were selected (50 g/L corn straw hydrolysate and 10 g/L soybean meals, respectively) and the maximum yield of bioethanol reached 4.6 g/L after Selleck JQEZ5 8 days of fermentation.”
“Nodules are seen in approximately 10%-30% patients within port-wine stains (PWS) and usually regarded as vascular “”tumor.”" However, nodules arising within PWS have not been systematically examined and the precise pathologic characteristics of them are unknown. The aim of this study is to evaluate the clinicopathologic and immunohistochemical features of blood vessels of nodules in 31 cases. A total of

31 biopsy specimens (excision) were obtained from the representative areas of lesion of each patient with nodules. Clinical features of all patients were recorded. Hematoxylin learn more and eosin staining, immunohistochemical staining, and Weigert elastic stain were performed to investigate the histopathologic features of nodules. In a total of 31 subjects, there are 16 patients whose nodules occurred in the area innervated by the second branch of the trigeminal nerve (51.6%), 4 in the first branch (12.9%), 6 in the third branch (19.4%), 2 in both the first, and the second branch (6.5%). Based upon specular microscopic findings, 14 biopsy specimens were designated as pyogenic granuloma (PG) (45.1%), 10 as arteriovenous malformation (AVM) (32.3%), 5 as both (16.1%), and 2 cases as cavernous-like vascular ectasia (6.5%). Moreover, both AVM and PG were prone to occurring in the area innervated by the second branch of the trigeminal nerve.

(C) 2010 Wiley Periodicals, Inc J Appl Polym Sci 119: 1034-1041,

(C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 119: 1034-1041, 2011″
“This commentary is to critique the revised World Health Organization (WHO) semen analysis manual as it pertains to characteristics of a spermatozoon at spermiation. The aims of the

revised WHO manual include improving the ‘quality of semen analysis’ without any restriction to clinical use. Furthermore, the manual states that semen analysis may be useful for (a) ‘investigating male fertility status’ and (b) ‘monitoring spermatogenesis during and following male fertility regulation.’ However, if the analysis of ejaculated spermatozoa is intended for the purposes described in (b), then cells that are abnormal at spermiation must be identified. This paper takes the position that the manual does not identify methods to estimate AZD9291 the DMXAA quality of spermatozoa at spermiation. Instead, it uses a ‘gold standard’ of sperm passing through the cervical mucus or arriving near the site of fertilization. Although this standard is appropriate for drawing conclusions regarding the probability that an individual could impregnate his partner, it is not appropriate for studying illness of the testes per se. Herein,

the measures of sperm quality presented in the WHO manual are critiqued with respect to the detection of spermatozoa that were abnormal at spermiation vs. those that became abnormal subsequently. Quality assessments based on the percentage of motile or ‘viable’ spermatozoa are meaningless. Alternative quality attributes defining spermatozoa at spermiation are presented in this paper. In conclusion, assessment of spermatozoal quality at spermiation, on the basis of quality attributes of individual ejaculated spermatozoa, is best achieved through 4SC-202 application of (a) a new paradigm for the morphological evaluation of sperm quality and (b) modern analytical techniques to evaluate, in an adequate sample, several appropriate independent attributes in each spermatozoon in order to more accurately identify the proportion of abnormal spermatozoa.”
“The reactivity of catecholamine neurotransmitters and the related

metabolites were precisely investigated toward 1,1-diphenyl-2-picrylhydrazyl (DPPH) radicals and reactive oxygen species. Catecholamines reacted immediately with DPPH radicals, their reactivity being stronger than that of ascorbic acid as a reference. Superoxide scavenging activities of catecholamines determined by WST-1 and electron spin resonance (ESR) spin trapping methods were also high. Whereas tyrosine, the dopamine precursor showed no reactivity toward superoxide. The reactivity toward singlet oxygen was evaluated by observing specific photon emission from singlet oxygen. The results revealed that reactivity of catecholamines was markedly higher than that of sodium azide, and catechin as catechol reference.


“The risk of developing skin cancers is dependent


“The risk of developing skin cancers is dependent Nepicastat cost on a combination of environmental factors and personal genetic predispositions. Basal cell carcinoma (BCC) has been associated with single nucleotide polymorphisms in several pigmentation genes; however, there is still controversy concerning the mechanism by which these variants may increase the risk of BCC. The pathway may lead to pigmentation alone, but evidence for their independent influence is growing. Using a single base extension protocol, candidate polymorphisms within 11 known pigment-related genes were studied

for their association with BCC in a population sample consisting of 164 patients and 707 controls. The significance of variation within the MC1R gene was

confirmed and, in addition, position rs12203592 within the IRF4 gene was shown to be associated with BCC. These associations remained significant after adjustment for skin color. Genegene interactions were found to influence susceptibility to BCC. Among interacting genes are the two above-mentioned loci with main effect on BCC risk and additionally KITLG, TYRP1, ASIP and TYR. The obtained results indicate that polymorphism at MC1R and IRF4 constitute pigmentation-independent risk factor in the development of BCC. Moreover, susceptibility to BCC may be influenced by epistatic effects between pigmentation genes.”
“Schizoaffective disorder is characterized by the presence of symptoms of both schizophrenia and a major mood disorder. The coexistence of these symptoms can be difficult to manage, and these patients are generally treated PF-6463922 price with antipsychotics as well as mood stabilizers and/or antidepressants. Additionally, no established treatment guidelines exist for this disorder. This

review describes the combined results of two international, double-blind, placebo-controlled clinical studies of paliperidone learn more extended-release (ER), an atypical antipsychotic recently approved in the US for the treatment of schizoaffective disorder. Subjects in these six-week trials were aged 18-65 years, had a diagnosis of schizoaffective disorder based on the Structural Clinical Interview for DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) Disorders, and were experiencing an acute exacerbation. The subjects from these studies had significant symptomatology as evidenced by a mean (standard deviation) baseline Positive and Negative Syndrome Scale total score of 92.8 (13.0). Based on Young Mania Rating Scale and/or a 21-item Hamilton Rating Scale for Depression score of >= 16 at baseline, 79.5% and 66.9% of subjects presented with prominent manic and depressive symptoms, respectively, and 46.4% presented with mixed symptoms. Approximately half (45%) of subjects were taking adjunctive mood stabilizers and/or antidepressants.

The presence of a repressor domain in the C-terminus of FYF and t

The presence of a repressor domain in the C-terminus of FYF and the enhancement of the delay of senescence/abscission in FYF+SRDX (containing a suppression motif) transgenic plants suggested that FYF acts as a repressor. Indeed, in FYF-DR+VP16 transgenic dominant-negative mutant plants,

in which FYF was converted to a potent activator by fusion to a VP16-AD motif, the senescence/abscission of the flower organs was significantly promoted, and the expression of BOP2, IDA and EDF1/2 was up-regulated. FK506 Our data suggest a role for FYF in controlling floral senescence/abscission by repressing ethylene responses and regulating the expression buy CB-839 of BOP2 and IDA in Arabidopsis.”
“In this article, we report the mechanical and biocompatibility properties of injection-molded high-density polyethylene (HDPE)

composites reinforced with 40 wt % ceramic filler [hydroxyapatite (HA) and/or Al2O3] and 2 wt % titanate as a coupling agent. The mechanical property measurements revealed that a combination of a maximum tensile strength of 18.7 MPa and a maximum tensile modulus of about 855 MPa could be achieved with the injection-molded HDPE20 wt % HA20 wt % Al2O3 composites. For the same composite composition, the maximum compression strength was determined to be 71.6 MPa and the compression modulus was about 660 MPa. The fractrography study revealed the uniform distribution of ceramic fillers in the semicrystalline HDPE matrix. The cytocompatibility study with osteoblast-like SaOS2 cells confirmed extensive cell adhesion and proliferation on the injection-molded HDPE20 wt % HA20 wt % Al2O3 composites. The cell viability analysis with the 3(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay revealed a statistically significant difference between the injection-molded

HDPE20 wt % HA20 wt % Al2O3 composites and sintered HA for various YH25448 culture durations of upto 7 days. The difference in cytocompatibility properties among the biocomposites is explained in terms of the difference in the protein absorption behavior. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2012″
“Studies have shown that vaccination with seven-valent pneumococcal conjugate vaccine (PCV7) results in a decline in nasopharyngeal carriage of penicillin-resistant Streptococcus pneumoniae, in carriage of vaccine-type pneumococci, and in replacement by non-vaccine serotypes. Vaccines can reduce pneumococcal resistance in vaccinated and unvaccinated populations by reducing the carriage of antibiotic-resistant serotypes, which protects the vaccinated population and prevents spread of disease to others, and by decreasing antibiotic resistance through overall reduction in antibiotic use.